Provider Demographics
NPI:1720294325
Name:LOZANO, YVONNE MARIE (LMFT,)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:MARIE
Last Name:LOZANO
Suffix:
Gender:F
Credentials:LMFT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 JEANETTE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7309
Mailing Address - Country:US
Mailing Address - Phone:210-260-3090
Mailing Address - Fax:
Practice Address - Street 1:219 JEANETTE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7309
Practice Address - Country:US
Practice Address - Phone:210-260-3090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93218106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist